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Article: Does diabetes affect functional outcomes after shoulder arthroplasty?

Alsubheen, Sana'a A / MacDermid, Joy C / Overend, Tom J / Faber, Kenneth J

Journal of clinical orthopaedics and trauma

2019 Volume 10, Issue 3, Page(s) 544–549

Language	English
Publishing date	2019-03-10
Publishing country	India
Document type	Journal Article
ZDB-ID	2596956-0
ISSN	2213-3445 ; 0976-5662
ISSN (online)	2213-3445
ISSN	0976-5662
DOI	10.1016/j.jcot.2019.03.003
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Article ; Online: Predictors of Clinical Benefits and One-Year Functional Outcomes Following Shoulder Arthroplasty.

Alsubheen, Sana'a A / MacDermid, Joy C / Overend, Tom J / Faber, Kenneth J

The Iowa orthopaedic journal

2019 Volume 39, Issue 1, Page(s) 69–75

Abstract: Background: Shoulder arthroplasty has been shown to improve function in patients with advanced shoulder disease. However, the response to surgery and final outcomes are not easily predictable. This study assessed the effect of residual pain, age, sex, ... ...

Abstract	Background: Shoulder arthroplasty has been shown to improve function in patients with advanced shoulder disease. However, the response to surgery and final outcomes are not easily predictable. This study assessed the effect of residual pain, age, sex, diabetes, hypertension, and depression on changes and status at one-year following arthroplasty with respect to shoulder function and overall physical and mental health status. Methods: A retrospective analysis of a prospective cohort of 140 patients tested preoperatively and one-year following shoulder arthroplasty was conducted at our tertiary hospital. Pearson's correlations and multiple regression analysis were performed to test the impact of predictors on shoulder pain and function assessed using the American Shoulder and Elbow Surgery (ASES) questionnaire, and on physical and mental health assessed using the Short Form-12. Results: Pain and female sex were significant predictors of poorer function at one-year (R = .56, Conclusions: Residual pain is associated with poorer function status and less clinical benefits. Female sex is not associated with less change in function which suggests that men and women get equal benefit from the surgery. Advanced age relates to poorer physical health and to a lesser extent physical change over the year.
MeSH term(s)	Adult ; Aged ; Arthroplasty, Replacement, Shoulder/adverse effects ; Arthroplasty, Replacement, Shoulder/methods ; Databases, Factual ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Multivariate Analysis ; Pain Measurement ; Pain, Postoperative/physiopathology ; Pain, Postoperative/rehabilitation ; Predictive Value of Tests ; Range of Motion, Articular/physiology ; Recovery of Function ; Regression Analysis ; Retrospective Studies ; Risk Assessment ; Shoulder Joint/physiopathology ; Shoulder Joint/surgery ; Shoulder Pain/diagnostic imaging ; Shoulder Pain/surgery ; Surveys and Questionnaires ; Time Factors ; Treatment Outcome
Language	English
Publishing date	2019-08-05
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1204065-4
ISSN	1555-1377 ; 1541-5457
ISSN (online)	1555-1377
ISSN	1541-5457
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Article: The Relationship between Physical Fitness and Simulated Firefighting Task Performance.

Nazari, Goris / MacDermid, Joy C / Sinden, Kathryn E / Overend, Tom J

Rehabilitation research and practice

2018 Volume 2018, Page(s) 3234176

Abstract: ... a calibrated J-Tech dynamometer. The National Institute for Occupational Safety and Health (NIOSH) protocol ...

Abstract	The overall aim of this study was to measure the physiological responses of firefighters from a single fire service during simulated functional firefighting tasks and to establish the relationship between physical fitness parameters and task performance. 46 males and 3 females firefighters were recruited. Firefighters' aerobic capacity levels were estimated using the Modified Canadian Aerobic Fitness Test (mCAFT). Grip strength levels, as a measure of upper body strength levels, were assessed using a calibrated J-Tech dynamometer. The National Institute for Occupational Safety and Health (NIOSH) protocol for the static floor lifting test was used to quantify lower body strength levels. Firefighters then performed two simulated tasks: a hose drag task and a stair climb with a high-rise pack tasks. Pearson's correlation coefficients (
Language	English
Publishing date	2018-04-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	2587420-2
ISSN	2090-2875 ; 2090-2867
ISSN (online)	2090-2875
ISSN	2090-2867
DOI	10.1155/2018/3234176
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Article ; Online: Gait parameters and characteristics associated with increased risk of falls in people with dementia: a systematic review.

Modarresi, Shirin / Divine, Alison / Grahn, Jessica A / Overend, Tom J / Hunter, Susan W

International psychogeriatrics

2018 Volume 31, Issue 9, Page(s) 1287–1303

Abstract: Background: People with dementia fall twice as often and have more serious fall-related injuries than healthy older adults. While gait impairment as a generic term is understood as a fall risk factor in this population, a clear elaboration of the ... ...

Abstract	Background: People with dementia fall twice as often and have more serious fall-related injuries than healthy older adults. While gait impairment as a generic term is understood as a fall risk factor in this population, a clear elaboration of the specific components of gait that are associated with falls risk is needed for knowledge translation to clinical practice and the development of fall prevention strategies for people with dementia. Objective: To review gait parameters and characteristics associated with falls in people with dementia. Methods: Electronic databases CINAHL, EMBASE, MedLine, PsycINFO, and PubMed were searched (from inception to April 2017) to identify prospective cohort studies evaluating the association between gait and falls in people with dementia. Results: Increased double support time variability, use of mobility aids, walking outdoors, higher scores on the Unified Parkinson's Disease Rating Scale, and lower average walking bouts were associated with elevated risk of any fall. Increased double support time and step length variability were associated with recurrent falls. The reviewed articles do not support using the Performance Oriented Mobility Assessment and the Timed Up-and-Go tests to predict any fall in this population. There is limited research on the use of dual-task gait assessments for predicting falls in people with dementia. Conclusion: This systematic review shows the specific spatiotemporal gait parameters and features that are associated with falls in people with dementia. Future research is recommended to focus on developing specialized treatment methods for these specific gait impairments in this patient population.
Language	English
Publishing date	2018-12-06
Publishing country	England
Document type	Journal Article
ZDB-ID	1038825-4
ISSN	1741-203X ; 1041-6102
ISSN (online)	1741-203X
ISSN	1041-6102
DOI	10.1017/S1041610218001783
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Article: Anabolic Effect of Exercise Training in People with End-Stage Renal Disease on Hemodialysis: A Systematic Review with Meta-analysis.

Sawant, Anuradha / House, Andrew A / Overend, Tom J

Physiotherapy Canada. Physiotherapie Canada

2014 Volume 66, Issue 1, Page(s) 44–53

Abstract: Purpose: The primary purpose of this systematic review was to evaluate the anabolic effect of exercise intervention in adults with end-stage renal disease on hemodialysis (HD). The secondary objectives were to evaluate the influences of participant ... ...

Abstract	Purpose: The primary purpose of this systematic review was to evaluate the anabolic effect of exercise intervention in adults with end-stage renal disease on hemodialysis (HD). The secondary objectives were to evaluate the influences of participant characteristics and exercise parameters on changes in muscle size. Methods: Electronic databases (Cochrane, CINAHL, EMBASE, PEDro, PubMed and SCOPUS) were searched from inception to November 2012. Randomized clinical trials published in English that included adults on HD undergoing an exercise intervention where muscle mass was measured as an outcome were included in this review. Two reviewers independently selected the studies, extracted data, and assessed risk of bias within the included studies. RESULTS were then combined by meta-analysis. The effect of exercises was determined using a standardized mean difference (SMD), expressed as Hedges' g, computed using a random effects model. Results: Seven SMDs extracted from five studies were included for final analysis. Strength training was used in all studies; one study used aerobic and mixed strength and aerobic training with two subgroups of participants. The overall effect of exercise on muscle mass was statistically significant (SMD: 0.272; 95% CI, 0.020-0.525). Conclusions: Our results confirm a small but significant effect of strengthening exercise as an anabolic intervention to increase muscle mass. Exercise training should be included in routine management of people on maintenance HD. Although current results indicate that one in nine people on HD is likely to benefit from exercise intervention, parameters influencing these results require further research.
Language	English
Publishing date	2014-02-27
Publishing country	Canada
Document type	Journal Article
ZDB-ID	639189-8
ISSN	1708-8313 ; 0300-0508
ISSN (online)	1708-8313
ISSN	0300-0508
DOI	10.3138/ptc.2012-59
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Article ; Online: Comparison of Canadian firefighters and healthy controls based on submaximal fitness testing and strength considering age and gender.

Nazari, Goris / MacDermid, Joy C / Sinden, Kathryn E / Overend, Tom J

International journal of occupational safety and ergonomics : JOSE

2017 Volume 25, Issue 1, Page(s) 1–7

Abstract: Introduction: Few studies have addressed whether firefighters are fitter than the general population and possess sufficient levels of aerobic capacity and muscle strength to perform on-duty tasks in a safe and efficient manner, considering age and ... ...

Abstract	Introduction: Few studies have addressed whether firefighters are fitter than the general population and possess sufficient levels of aerobic capacity and muscle strength to perform on-duty tasks in a safe and efficient manner, considering age and gender. We aimed to evaluate the fitness levels of Hamilton firefighters, and to determine the effects of age and gender. Methods: In total, 89 participants were recruited. The modified Canadian aerobic fitness test was used to determine participants' estimated maximal oxygen consumption (V Results: Firefighters' mean (SD) V Conclusions: Firefighters possessed somewhat similar aerobic capacities but much higher levels of body strength when compared with the general population. With age, firefighters' aerobic capacities decreased; however, their upper and lower body strength levels remained the same.
MeSH term(s)	Adult ; Age Factors ; Aged ; Canada ; Cross-Sectional Studies ; Exercise/physiology ; Female ; Firefighters ; Humans ; Male ; Middle Aged ; Muscle Strength ; Oxygen Consumption/physiology ; Physical Fitness/physiology ; Sex Factors ; Work Capacity Evaluation
Language	English
Publishing date	2017-10-10
Publishing country	England
Document type	Comparative Study ; Journal Article
ZDB-ID	1335568-5
ISSN	2376-9130 ; 1080-3548
ISSN (online)	2376-9130
ISSN	1080-3548
DOI	10.1080/10803548.2017.1372086
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Zs.A 4764: Show issues

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Article ; Online: Comparisons of clinically based outcome measures and laboratory-based outcome measure for balance in patients following total hip and knee arthroplasty.

Jogi, Pankaj / Overend, Tom / Kramer, John

Orthopedic research and reviews

2017 Volume 9, Page(s) 23–33

Abstract: Background: Information available in the literature on clinically based and laboratory-based outcome measures of balance is limited. How much information is provided by clinically based outcome measures compared to laboratory-based measure in patients ... ...

Abstract	Background: Information available in the literature on clinically based and laboratory-based outcome measures of balance is limited. How much information is provided by clinically based outcome measures compared to laboratory-based measure in patients with total hip (THA) and knee arthroplasty (TKA) is not known. Aim: The purpose of this study was to determine the relationship between selected clinically based outcome measures and laboratory-based force platform measure in patients following THA and TKA. Methods: Patients who underwent THA (n = 26) and TKA (n = 28) were evaluated at about 5-7 weeks following surgery. Participants were assessed using four clinically based outcome measures - 1) the Berg Balance Scale (BBS), 2) the Timed Up and Go test (TUG), 3) the Activities-specific Balance Confidence Scale (ABC), and 4) the Western Ontario McMaster Universities Osteoarthritis Index-function subscale (WOMAC-function) - and one laboratory-based force plate measure (95% ellipse area). Results: Moderate correlations were observed between the BBS and the 95% ellipse area of force plate ( Conclusion: The BBS demonstrated the greatest correlations with the 95% ellipse area of the force plate measure and should be preferred by physical therapists over the TUG, the ABC, and the WOMAC-function to assess balance in patients with THA and TKA.
Language	English
Publishing date	2017-04-10
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	2520718-0
ISSN	1179-1462 ; 1179-1462
ISSN (online)	1179-1462
ISSN	1179-1462
DOI	10.2147/ORR.S125581
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Article: Application of the McKenzie system of Mechanical Diagnosis and Therapy (MDT) in patients with shoulder pain; a prospective longitudinal study.

Heidar Abady, Afshin / Rosedale, Richard / Chesworth, Bert M / Rotondi, Michael A / Overend, Tom J

The Journal of manual & manipulative therapy

2017 Volume 25, Issue 5, Page(s) 235–243

Abstract: Objectives: The primary objective was to determine if the pain and function response to the McKenzie system of Mechanical Diagnosis and Therapy (MDT) differs by MDT classification category at two and four weeks following the start of MDT treatment for ... ...

Abstract	Objectives: The primary objective was to determine if the pain and function response to the McKenzie system of Mechanical Diagnosis and Therapy (MDT) differs by MDT classification category at two and four weeks following the start of MDT treatment for shoulder complaints. The secondary objective was to describe the frequency of discharge over time by MDT classification. Methods: International, MDT-trained study collaborators recruited 93 patients attending physiotherapy for rehabilitation of a shoulder problem. The Numeric Pain Rating Scale (NPRS) and the Upper Extremity Functional Index (UEFI) were collected at the initial assessment and two and four weeks after treatment commenced. A two-way mixed model analysis of variance with planned pairwise comparisons was performed to identify where the differences between MDT classification groups actually existed. Results: The Derangement and Spinal classifications had significantly lower NPRS scores than the Dysfunction group at week 2 and week 4 ( Discussion: Classifying patients with shoulder pain using the MDT system can impact treatment outcomes and the frequency of discharge. When MDT-trained clinicians are allowed to match the intervention to a specific MDT classification, the outcome is aligned with the response expectation of the classification.
Language	English
Publishing date	2017-04-25
Publishing country	England
Document type	Journal Article
ZDB-ID	920432-5
ISSN	2042-6186 ; 1066-9817
ISSN (online)	2042-6186
ISSN	1066-9817
DOI	10.1080/10669817.2017.1313929
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Article ; Online: Consistency of commonly used orthopedic special tests of the shoulder when used with the McKenzie system of mechanical diagnosis and therapy.

Heidar Abady, Afshin / Rosedale, Richard / Chesworth, Bert M / Rotondi, Michael A / Overend, Tom J

Musculoskeletal science & practice

2017 Volume 33, Page(s) 11–17

Abstract: Background: Shoulder Orthopedic Special Tests (OSTs) are used to assist with diagnosis in shoulder disorders. Issues with reliability and validity exist, making their interpretation challenging. Exploring OST results on repeated testing within ... ...

Abstract	Background: Shoulder Orthopedic Special Tests (OSTs) are used to assist with diagnosis in shoulder disorders. Issues with reliability and validity exist, making their interpretation challenging. Exploring OST results on repeated testing within Mechanical Diagnosis and Therapy (MDT) shoulder classifications may offer insight into the poor performance of these tests. Objectives: To investigate in patients with shoulder complaints, whether MDT classifications affect the agreement of OST results over the course of treatment. Methods: An international group of MDT clinicians recruited 105 patients with shoulder problems. Three commonly used OSTs (Empty Can, Hawkins-Kennedy, and Speed's tests) were utilized. Results of the OSTs were collected at sessions 1, 3, 5 and 8, or at discharge from an MDT classification-based treatment. The Kappa statistic was utilized to determine the agreement of the OST results over time for each of the MDT classifications. Results: The overall Kappa values for Empty Can, Hawkins-Kennedy and Speed's tests were 0.28 (SE = 0.07), 0.28 (SE = 0.07) and 0.29 (SE = 0.07), respectively. The highest level of agreement was for Articular Dysfunction for the Empty Can test (0.84, SE = 0.19). For shoulder Derangements, there was no agreement for any of the OSTs (P values > 0.05). Conclusion: The lack of agreement when the OSTs were consecutively tested in the presence of the MDT Derangement classification contrasted with the other MDT classifications. The presence of Derangement was responsible for reducing the overall agreement of commonly used OSTs and may explain the poor consistency for OSTs.
MeSH term(s)	Adult ; Analysis of Variance ; Female ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Orthopedics/methods ; Physical Examination/standards ; Prospective Studies ; Range of Motion, Articular/physiology ; Severity of Illness Index ; Shoulder Joint/physiopathology ; Shoulder Pain/classification ; Shoulder Pain/diagnosis
Language	English
Publishing date	2017-10-07
Publishing country	Netherlands
Document type	Journal Article ; Multicenter Study
ZDB-ID	2888772-4
ISSN	2468-7812
ISSN (online)	2468-7812
DOI	10.1016/j.msksp.2017.10.001
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Article ; Online: The Relationship between Physical Fitness and Simulated Firefighting Task Performance

Goris Nazari / Joy C. MacDermid / Kathryn E. Sinden / Tom J. Overend

Rehabilitation Research and Practice, Vol

2018 Volume 2018

Abstract: ... a calibrated J-Tech dynamometer. The National Institute for Occupational Safety and Health (NIOSH) protocol ...

Abstract	The overall aim of this study was to measure the physiological responses of firefighters from a single fire service during simulated functional firefighting tasks and to establish the relationship between physical fitness parameters and task performance. 46 males and 3 females firefighters were recruited. Firefighters’ aerobic capacity levels were estimated using the Modified Canadian Aerobic Fitness Test (mCAFT). Grip strength levels, as a measure of upper body strength levels, were assessed using a calibrated J-Tech dynamometer. The National Institute for Occupational Safety and Health (NIOSH) protocol for the static floor lifting test was used to quantify lower body strength levels. Firefighters then performed two simulated tasks: a hose drag task and a stair climb with a high-rise pack tasks. Pearson’s correlation coefficients (r) were calculated between firefighters’ physical fitness parameters and task completion times. Two separate multivariable enter regression analyses were carried out to determine the predictive abilities of age, sex, muscle strength, and resting heart rate on task completion times. Our results displayed that near maximal heart rates of ≥88% of heart rate maximum were recorded during the two tasks. Correlation (r) ranged from −0.30 to 0.20. For the hose drag task, cardiorespiratory fitness and right grip strength (kg) demonstrated the highest correlations of −0.30 and −0.25, respectively. In predicting hose drag completion times, age and right grip strength scores were shown to be the statistically significant (p<0.05) independent variables in our regression model. In predicting stair climb completion times, age and NIOSH scores were shown to be the statistically significant (p<0.05) independent variables in our regression model. In conclusion, the hose drag and stair climb tasks were identified as physiological demanding tasks. Age, sex, resting heart rate, and upper body/lower body strength levels had similar predictive values on hose drag and stair climb completion times.
Keywords	Medicine (General) ; R5-920
Subject code	796
Language	English
Publishing date	2018-01-01T00:00:00Z
Publisher	Hindawi Limited
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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